Island Singapore Flap Vaginoplasty of Two Adult Cases of Mayer– Rokitansky–Küster–Hauser Syndrome Type I

Alex Okello Wamalwa, Stanely Ominde Khainga

School of Medicine, University of Nairobi

Correspondence to: Dr. Alex Okello Wamalwa, PO Box 30197–00202, Nairobi, Kenya; email:


Mayer–Rokitansky–Küster–Hauser Syndrome Type I is an emotionally distressful rare condition that limits normal sexual functioning and relationships. First described in 1989 by Wee and Joseph, the neurovascular island pudendal thigh flap (Singapore flap) has been variously utilized and modified for use in vaginal reconstruction. We report two adult cases of vaginal agenesis who underwent vaginal reconstruction using the Singapore flap. Both patients reported improved sexual lifestyle.

Key words: Island Singapore flap, Vaginoplasty, Mayer– Rokitansky–Küster–Hauser syndrome Type I

Ann Afr Surg. 2019; 16(1):40–42


Funding: None

© 2019 Author. This work is licensed under the Creative Commons Attribution 4.0 International License.


The Annals of African Surgery is the official publication of the Surgical Society of Kenya.


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